Key result
Ultrasound screening of white men ≥65 years is cost-effective for preventing AAA-related death, and early surgical repair offers no survival benefit over surveillance for intermediate-sized AAAs.
Why the study?
What is the effectiveness and cost-effectiveness of screening, surveillance, and management strategies for abdominal aortic aneurysms?
Population
Patients at risk for or with known abdominal aortic aneurysms, including white men aged 65 and older for…
Comparison
Ultrasound screening, periodic surveillance, or… vs No screening, or early surgical repair versus…
Design
Review
Authors
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Supports screening white men ≥65 and surveillance for intermediate AAAs; leaves open broader applicability.
What is the effectiveness and cost-effectiveness of screening, surveillance, and management strategies for abdominal aortic aneurysms?
Ultrasound screening for AAA in men over 65 is cost-effective, and intermediate-sized AAAs (4.0-5.5 cm) can be safely monitored with periodic surveillance rather than early surgical repair.
Silverstein et al. (2005) conducted a review in Abdominal aortic aneurysm. Ultrasound screening, surveillance, and surgical repair was evaluated. Ultrasound screening of white men ≥65 years is cost-effective for preventing AAA-related death, and early surgical repair offers no survival benefit over surveillance for intermediate-sized AAAs.
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